| NPI | 1720075856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 015207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN137448L) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-06-17 |